The most common cause, we call it gastroenteritis, it’s called norovirus, that’s the typical cause, or most common cause of gastroenteritis, you probably call it the stomach flu. Right.
Right. And the kids will come home, and adults can get it too, vomiting, diarrhea. Okay, here’s the big thing. Quarantine sounds like a terrible term, but I’m actually glad you do that because again, that virus, every time your child vomits, or has diarrhea, what happens is that that virus is expelled everywhere, so it’s on the surfaces, it’s in the bathrooms, so quarantine is smart, but one of the things about norovirus is that because it can end up on all your surfaces and it’s easily spread, and if you touch the virus, then you touch your lips or mouth, you can get it as well. It’s the one time where I say, if you know a surface is contaminated, you need to use a disinfectant to try to keep the rest of the family safe. That’s why we literally have bleach wipes and sprays out here, right? It is, and so this is the one time, I’m an all-natural cleaner type of guy, because I don’t like to use a ton of toxic chemicals, so in most cases, I’m at my house, I’m just usin’ all-natural cleaners, right? In that case, you want to go with an actual disinfectant. These are more powerful, they’re also more caustic, so you have to be a little bit careful, and you can either buy sorta the disinfectant wipes or sprays that are formulated already for this, just read the label, or you can actually make your own using bleach, and a little bleach goes a long way, you use bleach at home at all? Not really. Rachael? I mean, we always had bleach when I was a kid, now I buy the, you know, it’s just more convenient to have the wipes and that kind of thing. And I’m also that way, because bleach can be incredibly irritating. I mean, I think this is a little aggressive, that we’re putting on goggles. You want me to just add the bleach for you? All right.
No, Rachael, I’m doing the demo.
All right, all right. (audience clapping)
Because, hey, I’ll tell you this. You don’t wanna take a small problem, and norovirus, the good news is, your kids get it, and they usually do fine, right? You keep them hydrated?
Yeah. And, as an ER guy, Rachael, I’ve taken care of people who have gotten into the bleach and ended up within a bad situation, that’s why I’m being a little dramatic here, but you only have to use one tablespoon mixed to, say a gallon of water–
A gallon of water, and then you can use that to disinfect anything, just with your own towels.
Yeah, so take it, you can disinfect your phone, your keyboard. (audience clapping) You can’t stop him. He’s a man possessed with his demo. (audience cheering) (audience clapping)
This comes from one of our viewers. Ariana writes, “I’ve started seeing someone long distance and every weekend he visits, I get strep throat. I’ve gone to the doctor every time to rule out other causes but I’m convinced it’s my new boyfriend. Is it possible he could be a carrier even though he shows no symptoms?” Yes. You know what? You don’t need this show. Turn the TV off. No one’s allowed to come in studio. (crosstalk) That’s it, we’re done. Yeah you could be a carrier. Of course. I think it’s a little less common to be a source of infection if you’re asymptomatic and the boyfriend obviously isn’t saying every time he sees her that he has strep throat but I think the solution here for her is just to get her throat swabbed and his throat swabbed to see who’s actually carrying strep if anyone and also what antibiotics it’s sensitive to because you don’t want to necessarily keep taking antibiotics over and over for nothing if that’s not actually the source or the cause. People tend to at times get repeat infections and it could be a urinary tract infection. In this case for her if it is indeed strep throat, we don’t know the formal diagnosis, you can’t just keep going back in once a month and just taking antibiotics. Not only are they going to become less effective but over time the onslaught that that causes in your body it’s not just destroying bad bacteria. It’s destroying your entire microbiome, lots of potential side effects. It’s a bandaid. So you have to always then figure out why is this happening? And I applaud this person because it may be the boyfriend and so you have to do more research. Don’t just go see a different health care provider every time or go into an Urgent Care clinic and say, well I seem to have a urinary tract infection again Well here’s another prescription for an antibiotic. I seem to have strep throat again here’s another antibiotic
Well I also think for strep throat.
that’s a good way To give rise to a resistant form of that bacteria that then isn’t going to respond to those antibiotics if that’s actually what you have. I agree. And you mentioned culture insensitivity. I like that you brought that up. Not even just for strep but in general, if you keep going back, sometimes people will just say, oh you have a urinary tract infection but they won’t determine which antibiotics will be effective against the organism causing your particular infection so that’s where the culture insensitivity comes in. So you may wanna ask them, are you checking for the sensitivity. If I keep getting this, I keep getting these symptoms to make sure you’re treating it adequately, whatever the infection may be if it’s a bacterial infection.
The following program contains mature subject matter viewer discretion is advised in 2017 we were shocked by trends down there, and it looks like 2018 is not going to disappoint, so what are people putting down there now and why? Well one of them apparently hydrogen peroxide So dr. Aneta apparently women are putting hydrogen peroxide down there Tell us why and tell us if you heard of this yes really yes so they use it some women will use it for itching so they think they have a yeast infection or some discomfort But a lot of times women use this if they notice an odor specifically if they think they have bacterial vaginosis so since they do that a lot of times Let’s just kind of quickly talk about what bacterial vaginosis is so it’s a very common vaginal infection also known as BV It’s particularly common in women between the ages of 15 and 44 And it’s due to an imbalance between the good bacteria and bad bacteria in the vagina now BV is not a sexually transmitted infection but if you have bacterial vaginosis Then you have a higher probability of getting a sexually transmitted infection like HIV or chlamydia if you are exposed so BV is notorious for causing a fishy vaginal odor and that’s where the hydrogen peroxide Is in fact in people are thinking if I use it. I’ll help disinfect exactly and neutralize that odor so they’re saying it helps my vagina smell fresh and Clean and just brand new and healthy so I would say you know of course. This is not my first choice if you have vaginal itching And you’re using it for that doing over-the-counter antifungal cream or your doctor can give you a pill if you think you have Bacterial vaginosis, then ideally we would treat that with an antibiotic But I will say there is some research suggesting that perhaps Hydrogen peroxide can help bacterial vaginosis a little bit, but women are soaking tampons with this stuff putting it in I’m very careful very Mucosa, and there’s very pink and gentle and you have to be thinking I mean that hundred that full strength can be Caustic yes to tissues, so I I don’t like that idea and some people even do it in a diluted fashion But still you can still get that irritation, and if you use a strength that is too strong You can get some corrosion, so just as a general principle. Don’t corrode your vagina. Yeah – are You sure you don’t want in the same senses Corrosion and vagina I don’t but that just does not sound right. It’s not right You
this next image any idea is what this might be oh so this started as a spider bite the bike quickly continued to inflame and swell the patient who happens to work here at our show did ultimately go to the doctor she was diagnosed with a secondary cellulitis potentially serious bacterial skin infection and this is actually one of our producers and doctor Batra you got involved in the case I did so this is like a really good example of again when you have a little cut or an opening in the skin your skins function as an organ is to keep the outside world out so now you have a doorway for all these nasty bacteria viruses fungus that can get in so the bite was the portal of entry and then she by very bad luck acquired a secondary staph infection so she was sort of texting me in real time at first you see kind of the redness and the inflammation that’s a typical bite but the signs of a true cellulitis are when you start to have expanding redness warmth increasing pain as days go on it feels hot and angry you might feel sick one thing that the producer did that was amazing and really smart you can see she used the red sharpie and she was actually tracking the progression so when she sent me that first text and then you could see the next day that it was actually expanding outside the pen then that was obviously not a good thing speaking of her as though she’s not here she actually is here backstage Chelsea hi so you are two plus weeks out from this and you still have bruising in that area how are you feeling I feel much better I don’t feel it anymore when it first happened though you could like what you were saying the redness and the pain and I think it happened really fast too cuz I’m like at my desk and then I look down and like oh my god what is happening down there so I think it would like happened really fast like within 24 hours it really expanded and that’s when I was texting dr. Batra well you’re a pro you’ve been watching the doctors for years so you knew what to look for that that warmth the treatment for this if it is becoming very painful is antibiotics so Chelsea benefited both from injections of antibiotics as well as pills remember they’re 200 in cases of this type of cellulitis diagnosed each year and Chelsea had it in exactly where we see it most which is usually the lower leg because the circulation there is a little bit slower people who have stasis or swelling up their legs much more at risk for this and if I may add it seems to me like she had two things going on here because it’s very abnormal to have a spider bite and then that quickly that severe swelling that then became in medicine we call it a cue Mike so that’s one of the other things is some of these spider bites they can become really scary really quickly this is gonna make me think twice about my whole policy of letting spiders live in my house thing I mean I see them wider ladies or just I don’t mind that I’m not afraid of them and I think maybe at one point I was and so I started to develop this I’m gonna let them live and see how it goes but now I think if you see a brown recluse or a black widow spider hanging out in your bedroom you got to get that spiders are the most part benign and and the other irony of this whole story and not in Chelsea’s case but a lot of times you’ll get a bite and you’ll assume it’s a spider bite but if you don’t see the spider a lot of times it can be any other critter potentially that caused it you
The following program contains mature subject matter. Viewer discretion is advised. I’ve heard boric acid suppositories can actually work for certain vaginal bacterial infections. Is this true? Actually, this one is true, it is! So she specifically asked about bacterial infections and sometimes when someone has recurrent bacterial vaginosis, also known as BV, we will give them boric acid. So we know that BV will cause women to have this fishy, white vaginal discharge and it’s because the balance between the good bacteria and bad bacteria is off in the vagina so it messes up your pH. Now I will say this is not first line treatment. We typically just do an antibiotic but if you have what we call recurrent BV, which is when you have three or more documented episodes within 12 months, then we may do the antibiotic plus we’ll try the boric acid. But if you purchase boric acid, remember that you can die if you consume it orally so make sure you keep it away from kids. So you can have it in a couple of different forms. It can come as a suppository or you can use it as a capsule but either way you’ll get this applicator and you just insert it into your vagina and it should help your pH. So I normally tell you not to feed your vagina, but when I do tell you to feed your vagina I recommend boric acid. (laughing) There you go! So there’s an exception to every rule. (clapping) Travis. The most interesting OBGYN in the world. (cheering) Oh dear.
apparently being a night owl can cause you to have not not get enough sleep and when you don’t get enough sleep you have a weakened immune system according to some research that can throw your vaginal pH off making you more susceptible to vaginal yeast infections and then you have a weaker immune system so your body can’t fight it off so you get a yeast infection and so you get the burning and itching and irritation maybe a little watery discharge maybe the thick white cottage cheese like discharge without any odor but in any case if you get one of those then you know you can do it over-the-counter cream or your doctor can prescribe something but in addition to lack of sleep also a poor diet or an illness our pregnancy can also predispose you to vaginal yeast infections you
(applause) Up to 75% of women will get a vaginal yeast infection at least once in their lives, but did you know there’s another surprising place you can get a yeast infection? Your mouth. So a lot of folks have heard of this, but oral thrush is actually a yeast infection, and it’s caused by an overgrowth of yeast in the mouth, sometimes even the esophagus, same organism that causes a vaginal yeast infection, but you’ll develop these white lesions on the roof of your mouth, sometimes they’ll have a cottage cheese type appearance, it can cause difficulty swallowing, you’ll sometimes see it in patients who use steroid inhalers for their asthma. Somebody who’s been on antibiotics, can disrupt the normal bacteria. What about pregnant women? I had this when I was pregnant with my first child, and it was horrible. It was painful, and even if I ate a piece of bread, it felt like someone was scraping my tongue. Yeah, the mouth is very sensitive, and a yeast infection can be pretty uncomfortable. It is important if you do notice this to see a healthcare provider, because you also have to make sure there isn’t a specific cause for it.